Improving self-efficacy of "first witness" on out-of-hospital cardiopulmonary resuscitation by multi-mode network training

doi:10.3877/cma.j.issn.2095-9133.2023.04.006

Abstract

Abstract:

Objective

To explore ways to improve the self-efficacy of the "first witness" of out-of-hospital cardiopulmonary resuscitation (CPR), and to provide reference countermeasures for promoting on-site CPR.

Methods

From March 2020 to December 2022, the first-aid instructors conducted standardized CPR training outside hospitals, and 486 simulated "first witnesses" who were willing to participate in the study were surveyed with questionnaire on first-aid knowledge, skills and self-efficacy by convenient sampling method after multi-mode network continuous training. The results were compared with 479 cases in the same period of CPR operation training using only simulators.

Results

The first-aid knowledge, skills and self-efficacy of the "first witness" in the multi-mode network continuous training were significantly improved (35.09±1.50 in the study group and 23.61±1.47 in the control group), and the willingness to rescue was stronger; the difference was statistically significant (P<0.01).

Conclusion

Multi-mode network continuous training can improve first-aid knowledge, skills and rescue willingness of the "first witness", improve self-efficacy, and promote the implementation rate of CPR.

Key words: Cardiopulmonary resuscitation, Multi-mode, Collaterals continue, Training, Self-efficacy, Prehospital first-aid

Shuili Li, Yunping Hou, Xueyan Wang, Fangli Tang. Improving self-efficacy of "first witness" on out-of-hospital cardiopulmonary resuscitation by multi-mode network training[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2023, 09(04): 219-223.

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URL: https://zhwsyjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9133.2023.04.006

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References 16

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组别	例数	正确识别心脏骤停	能第一时间施救	摆放正确位置	按压部位正确	按压频率正确	正确开通气道	实施口对口人工呼吸	识别复苏指标	利用现场资源施救	对复苏有信心	总分
研究组	479	3.10±0.49	3.77±0.42	3.51±0.53	3.98±0.11	3.57±0.23	3.50±0.23	3.28±0.03	3.77±0.02	4.00±0.00	3.61±0.02	35.09±1.50
对照组	486	2.45±0.84	2.56±0.64	2.91±0.48	2.90±0.71	3.22±0.19	2.79±0.16	2.10±0.01	3.11±0.05	3.96±0.01	2.81±0.06	23.61±1.47
t值		14.82	34.62	18.15	32.94	22.09	16.92	1.27	32.44	30.98	22.65	121.37
P值		<0.01	<0.01	<0.01	<0.01	<0.01	<0.01	>0.05	<0.01	<0.01	<0.01	<0.001

组别	例数	正确识别心脏骤停	能第一时间施救	摆放正确位置	按压部位正确	按压频率正确	正确开通气道	实施口对口人工呼吸	识别复苏指标	利用现场资源施救	对复苏有信心	总分
研究组	479	3.10±0.49	3.77±0.42	3.51±0.53	3.98±0.11	3.57±0.23	3.50±0.23	3.28±0.03	3.77±0.02	4.00±0.00	3.61±0.02	35.09±1.50
对照组	486	2.45±0.84	2.56±0.64	2.91±0.48	2.90±0.71	3.22±0.19	2.79±0.16	2.10±0.01	3.11±0.05	3.96±0.01	2.81±0.06	23.61±1.47
t值		14.82	34.62	18.15	32.94	22.09	16.92	1.27	32.44	30.98	22.65	121.37
P值		<0.01	<0.01	<0.01	<0.01	<0.01	<0.01	>0.05	<0.01	<0.01	<0.01	<0.001

项目	例数	知晓急救知识
项目	例数	判断心脏骤标准	呼救120	复苏现场环境安全	按压位置	按压频率	按压深度	开通气道方法	如何进行口对口人工呼吸
研究组	479	362(74.5)	431(88.7)	442(90.9)	461(94.9)	463(95.3)	406(83.5)	382(78.6)	357(73.5)
对照组	486	232(48.4)	339(70.8)	301(62.8)	363(75.8)	379(79.1)	277(57.8)	123(25.7)	155(32.4)
χ²值		68.13	48.00	107.60	70.34	56.54	77.10	270.85	163.60
P值		<0.001	<0.001	<0.001	<0.001	<0.001	<0.001	<0.001	<0.001
项目	例数	知晓急救知识		掌握急救技能
项目	例数	按压与呼吸比例	知晓复苏指标	有效清理呼吸道	胸外心脏按压频率正确	胸外心脏按压深度正确	口对口人工呼吸有效	规范判断复苏效果
研究组	479	433(89.1)	402(82.7)	286(58.8)	383(78.8)	301(61.9)	226(46.5)	342(70.3)
对照组	486	311(64.9)	223(46.6)	120(25.1)	302(63.0)	221(46.1)	177(37.0)	283(59.1)
χ²值		79.8	138.23	113.05	29.09	24.24	9.05	13.47
P值		<0.001	<0.001	<0.001	<0.001	<0.001	<0.05	<0.001

项目	例数	知晓急救知识
项目	例数	判断心脏骤标准	呼救120	复苏现场环境安全	按压位置	按压频率	按压深度	开通气道方法	如何进行口对口人工呼吸
研究组	479	362(74.5)	431(88.7)	442(90.9)	461(94.9)	463(95.3)	406(83.5)	382(78.6)	357(73.5)
对照组	486	232(48.4)	339(70.8)	301(62.8)	363(75.8)	379(79.1)	277(57.8)	123(25.7)	155(32.4)
χ²值		68.13	48.00	107.60	70.34	56.54	77.10	270.85	163.60
P值		<0.001	<0.001	<0.001	<0.001	<0.001	<0.001	<0.001	<0.001
项目	例数	知晓急救知识		掌握急救技能
项目	例数	按压与呼吸比例	知晓复苏指标	有效清理呼吸道	胸外心脏按压频率正确	胸外心脏按压深度正确	口对口人工呼吸有效	规范判断复苏效果
研究组	479	433(89.1)	402(82.7)	286(58.8)	383(78.8)	301(61.9)	226(46.5)	342(70.3)
对照组	486	311(64.9)	223(46.6)	120(25.1)	302(63.0)	221(46.1)	177(37.0)	283(59.1)
χ²值		79.8	138.23	113.05	29.09	24.24	9.05	13.47
P值		<0.001	<0.001	<0.001	<0.001	<0.001	<0.05	<0.001

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